# GATEWAY HAND THERAPY LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790157097
- **Authorized official:** MARY LYNN KLEIS OTR/L CHT CLT (AUTHORIZED OFFICIAL)
- **Authorized official phone:** (616) 209-4429

## Contact information

- **Practice address:** 3739 BALDWIN ST, HUDSONVILLE, MI 49426-9733
- **Practice address phone:** (616) 209-4429
- **Practice address fax:** (616) 432-2247
- **Mailing address:** 3739 BALDWIN ST, HUDSONVILLE, MI 49426-9733
- **Mailing address phone:** (616) 209-4429
- **Mailing address fax:** (616) 432-2247

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225XH1200X | Hand Occupational Therapist | 5201001229 | MI | Yes |

## Other

- **Enumeration date:** 10/26/2015
- **Last updated:** 05/09/2017